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About KLCarter

  • Rank
    Junior Member
  • Birthday 08/27/1966

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  • Location
    Shreveport, LA
  • Occupation
    Research Technologist

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  1. Thanks JHH1999. That makes perfect sense. that explanation with a validation of the extended expiration date should be sufficient. (I hope!)
  2. Thanks for the feedback! I'm working in a newer lab that is anticipating its first assessment and I want to make sure all goes as smoothly as possible.
  3. Can anyone offer information as to the 30-day expiration date rule applied to saline cubes? Does this only apply to routine patient testing? We use saline to make reagents and I need to determine how to out-date these reagents. For example - saline expires in 30 days but is used to make PBS (we give a 6-month out-date to refrigerated PBS); which in turn is used to make enzymes (another 6-month out-date). How can I document an expiration date 1 year longer than the raw materials used to make the reagents? Any help or clarity would be most appreciated!
  4. I'm not very familiar with gel, but if the pt DAT was positive wouldn't it have been detected with the tube testing at AHG?
  5. If the tube testing was through AHG, wouldn't it have deteceted the pos DAT?
  6. Both Fy and Rh are on chromosome 1. anti-Fy5 does not react with Rh null cells regardless of the Fy type of the Rh null cells Now how about something from the Lutheran system - Of the 3 mechanisms for Lu(a-b-) phenotype, which is the one that can develop an anti-Lu3?
  7. I have worked at two institutions where Medical Records is in charge of patient information. At each facility, a name change meant a new sample was required for crossmatch testing. Medical Records has to notify blood bank prior to changing patient information. Also we tried to coordinate the information change with the expiration of a type and screen sample or after the patient was no longer in critical status. When the situation occurs that a name change can not wait (our OR would not do surgery unless all information was correct) we require a new sample and repeat TS and XM testing. Hope this helps!
  8. I copied this from the AABB website. I hope it helps. Billing for Blood and Transfusion Services: Frequently Asked Questions and Answers Question: Can you charge for Sickle Cell testing on units for Sickle Cell patients and if you are protecting a patient from other antigens, which may stimulate them to produce even more antibodies, can you charge antigen typings for those units? For example a sickle positive patient who needs products which are sickle negative and E negative due to the patient having Anti-E but we also give K and S negative in order to protect patient in accordance with their phenotype. Answer: Yes, you may bill for any service performed on a blood component for a patient if it is medically reasonable and necessary. The sickle cell patient protocol is now standard practice to start all new patients (and older patients that are antibody formers) with C, E, K neg (some facilities also do Fya as appropriate). This should be stated in your Transfusion Services policy (SOP) on Hb SX patients. In these cases, you would code CPT 85660 per unit screened and 86905 per antigen/per unit typed. Revenue code is 030X for both. Reference: AMA 2007 CPT
  9. We perform cardiac surgeries on both adult and pediatric patients. Currently we use blood <7 days old for our pediatrics but have no specific policy for adult patients. We will wait and see at this time.
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